HomeMy WebLinkAboutBuilding Permit 03-1538
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT / /- 3- 63
L While File
2. Pink City
3. Yellow Applicant
rPERMIT NO. 03 ~ / 53f;
(Please Me or Drint and sim at bottom)
ADDRESS
.:.2/1.? 0 f? ~ t Cd--r
ZONING (offi" use)
f./
LEGAL DESCRIPTION (office use ouly)
LOT J<; BLOCK I ADDITION
7/,e W. JJ~ Q~~i'-
PIDrls"3gd.-~/ff-o.
OWNER
(Name)
(Address)
(Phone)
BUILDER M J. /J J. I /
(Name) /1/ e r '1- (..//>01-- f'/p "..'"'~
(Contact Name) J'J..../~~ 3. C)I~_
(Address) b//S;- J:e:.-1iD~ J(J\..-<--
(Phone) 9S-z-~~-t,t>2.;z
(Phone)~/7-~-7~
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe.Roofing
ORe.Siding
OUtility Connection
DLower Level Finish
o Fireplace
OAddition
DAIreration
o Misc.
PROJECTCOSTIVALUE (excluding land) $
I hereby certify that I have furnished information OD this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:te~operformrt;rJJ~:ons 51(. ~__ ItJ I? 1.2bt13
~~' Contractor's License No. ' Date'
I Pennit Valuation fj ~zg aDO .m> I Park Support Fee # '$ 85(),eJ,0 I
I Pennit Fee $ / .SZ./5 SAC # $ I 2.. 75.0 0 I
I Plan Check Fee $ ~7J1?qo I Wale! Meter Size S/8"~/) 1$ "300.00 I
I State Surcharge $ 92.0D I Pressure Reducer 1$ 70.00 I
I Penalty $ - I City SAC and WAC # $ (200.DOI
I Plumbing Permit Fee $ I{)D. ()t:J I Water Tower Fee # $ 700.00
I Mechanical Permit Fee $ /OD. 00 I Builder's Deposit $ r-s:..oo. DO
I Sewer & Water Permit Fee $ 35. '5'"0 I Other $
I Gas Fireplace Pennit Fee $ 40.00 I TOTAL DUE t J.ltU::;[) tr."Ze'- D'? $ f/J_ .:;.-~.SS
1
This Application Becomes Your Building Permit When Approved I Paid r~P71,~J IV:' '" OS4- I
CJSo.B~~cial~ -JJJ~aof7 I Date /2-. z..lJ? By . I
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows consnuction to commence. Before occupancy, a Certificate of Occupancy must be
~ PI:mingD:L~~1- /tj/~6'3 ~ ~a1c~606~~~)
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4:l45
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
/
.
White - Buildina
.... '''-nAN - Enaineerll'\gJ
Pink . Planning
Tit.. ('"nltr of III" l.aklrColllU",
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
/1 /,';'.,/7
i/)., ,./ .',! ..,
(,/ /t.,/ ~'" _ ',/ -'71 - // ,."/ .,....
/' / k!.,:. t.-CL",' F I (v (.,'.07n
. /
=:;>. , () ~
1/ - ~..:;>::" ---..J
...."'/'..,/"
-"--\-'''X:l.-::?~::>',:2~_..-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed aj;
:::; "..;;--,;-. _ LC::' --. </. /. -f-
; / d::F c) or..o' ,oC'C..L.< .
/
Accepted
)("
Accepted With Corrections
, '"
Denied
Reviewed By:
I//J4 /<,
Date:
/1-/ $-03
Comments: See ReVl'"r<::p RidA fnr Arf(litionallnf.or:matior I
Drivllwav Must Have A Concrete Approach
~"'''' t\ttachment~. 1) ('t1'llnin~ Phm. ?\Erosin" rnntrnl Measll""'~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tht ('tnltr nf Iht L.kt C:ounlry
~hitA - [ltJildi~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEfARTMENT CIiECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
1/-
4Jdmn ~
-63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a:;t~~s ~roPos2 6G:::L f--
,
Accepted
Accepted With Corrections ....,/
Denied
,
Reviewed By: _ -;? ~ -;ttJ . .f) L.J Date: /1110/0 '1'
Comments: ~ ~ cLIZ.f' ~ -~ . "1:11a,. .' 10 .~)
.
->...ddJ!.r ~Q L~ ~ d~.-.
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
,0,)
~~
White . Building
Canary - Enalneering
('P1n~ - Plann1iig:,
Thr ('rntrr nf lhr I..kr ('ounlr)
mnLDING PERMlLAPPLlCATION DeE,ARTMENT CI:tf:CKLlST
NAME OF APPLICANT
") /7.' ,.,
J~<//'- '<-'" C~"I.:~' '.J;1 f/'~ ,- j/';
/1- 3~03
~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have revi~~~'1~li~~g permitS'
application for construction activity which is proposed at .
6( >,,<./. ~
'1/).... 1.:---.,:.....,':1/ //---... 7---
,-' :: ......... ,r" y.___ .._,,,, r./
T
Accepted
Accepted With Corrections /'
Comments:
Denied
<
Reviewed By: _~ .:{a.u()-I-.-
~~
c
j7~~
~...
p
~
Date: II It (J Io:r
,
-~.."....) - .~ (".
lJ ~
~
~6-:.L)
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Dee 17 03 03:32p Llo~d Excavatin~
09/14/00 TBU 12:06 FAX 6124474245 CITY OF PRIOR LAKE
952-440-3036
p.l
1i!I00l
...... . ....
"t1lt,.1.(tW .. "'LICMIT
eoLD - crr~
CI'1!"l OF PRIOR LA1<E
SEWER AND WATER PERMIT
NQTE'
s.w.No.3-/538'
Sewer and Wat~r
contractors .must
be registered
with the c.i.ty.
APPL: CANT: Lh!,/ ;:""'<;...."...,(';.
ADOR:! 35: Po I.hl!. ,{"IV jJ",u t.N.... ...-?_
SIGN;: 1'URE:~.... L
.J
SITE ~DDRES _ 2 9S"o n~i /:..c./ -r;.
PHONE: $'.J-~- V'EO -.1.<> <:0
DATE: /.)-/J'~", 3
BWG. PERMIT 1#
PI Of
FILL IN THE BLANKS
1. Ii ItimatllG length of water serlice
x-o
feet.
2. S.ze of water service
I
inc:h(es).
3. I. .cation of any coup11hQs frolll structure
feet.
4. ~"pe of sewer pipe. ABS_ PVC-X. Cast Iron_
:1. f; ,ttrnated longth e! o/l"'...L line YO feet.
6. c: ean out (if required). located at
s' ,ructure.
feet
from
.!.._...-=: '~;;:=.::::=II:I;==:l!!fta;::''''__::ZSll .._ __.0"
=-___C===;=:=A~;~===~__
Thi~ '. pplication becomes your permit ~hen approved.
BY__.
DATE:
=__==~ =3_~==~~==~.__=~=~=___=.__===~~z~c=~~~__-==3_____~==m~__
FEES:
$
$
...
35.00
~50
35.50
Sewer and water line connection pArmlt_
Surcharge
TOTAL
l',;" for either sewer or water individually is ~..6Jl plus
$ .50 surcharge.
. -----'
s.! ". e r andl.tt.- ~;:r~'1ilits 1;~~~\1. ed for new construction !!,ust be
rr,~orded ~e ~P~~d~~fo !~it card at tbe time~~ssuance
b: insure a1: 0 ~ dupIJ.c . sewer and watelQ . s are
i.. ~ued. I i'l DEe 2 2 Z003 i U . ~D/~ 'f17.;
DATE ]; \IO U U AMOUNT PAID G PI:~A~
-7iv//.,.
*
*
RECEH r #
:::{,.I
R~C'[) t11r
16200 Eaglr: Creel<; Av. 5.6., Prior Lake, Minnesota .55372/ Pb. (612) 447-4:230 / FAX (612) 447-4245
An Equal OppO!lunily Bmployer
..
Jan. 07 2004 11:44AM P2
Date Re~ld
FAX NO. :952 492 2446
CIT\' OF PRIOR LAKE PLUMBING PERMIT
(Plea.te.!YDe or orinr and cton .r bottom)
ADDRESS
cJ9 3C; ,t!/e.,J t' 1t'<-7- /;; ~' I
I D''"' '11_ I PE 536
l. ""14 c;~ RMIT NO.,.':a.. I
lVtl'-lloApplk1lll1 ~l
I ZONING (alll<cu,,) I
. tEGAL DESCRlPTION (olli"" u,", anly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
~'Yl~J--, ~~. /;6~~'
.-
(Phone)
~;?4- -tt/C'.?.;:L
</
\f.el[.,.~t:-t...
~--.
APPLICANT
(Name) c:.....),t? /A -ff- /'J'lLd..........u:J
2/c<C!.5 ~9,C ,-I ~
(Address) .....
(Contact Person)
~
/tClna-R c/ (phone)
./7~~ ~
(Phone) ".7,;/- ~f' ; ~ .;z.//~
<../'e?,..-d~ If^--.-.. SY:5.5'..P--
(CiIY) (Zip Code)
?//Z -ZZ./-.f?'925'
DATE -1-:...r-~y
(Address)
APPLICANT SIGNATURE
,
I
I
I
I
~
I
~
L
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture I Quantity I Type of Fixture
..l- I Bath Tub with or without shower Rough-ins
. I I OishwRlher I Waier Heater
I. I Floor Drain Water Sonner
.5" j..avai?ry<Bathroom Sink) / Stand Pi~{washing Machine)
/ Launal'y' Tray (lor 2 compartment sink Sewage ~ector
~ S~ower:;iall Backtlow Assembly
/ SinKS - Backflow Assembly Te.!
Har ;inr- Lawn Sprinkler
"V Wii!erCloset (Toilet) , Other
FEESCHEDtJLE
h $39 SO .. Residential, New One & Two-Family
Industrial. Commercial & Multi.family 1% of job cost wit a . mInimum Residential. Additions &. Aile ons
EMimalcd Coot & t1)/) ( It) Building Permit #
PLUMBING PERMIT FEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
s
s
s
.50
$99.S0
$39.S0 ,~
P"B~~'
IOrr.~t Un Only)
nl. Appllullon Becom.. Your Building Permit When Approved
-
Paid
:~t.
Bulldlftg Omellt
nlre
---
~"Of--
14 hour nollet ror In in.ptetla.. (952) 447-9850. rll (951) 447-4145
FROM :SOUTH MECHANICAL
FAX NO. :952 492 2446
Jan. 07 2004 11:44AM Pl
CITY OF PRIOR LAKE
ilEA TINGJAIR CONDITIONlNGIFlREPLACE PERMIT
Dale Ree'd
tPlease Me or Print a.a.d.OAJ1 ar. bonoml
I ADDRESS
OJ.~SO r6oka.-r-
:~ ~~ IPERMITNO~ I~
,. V./klw ^"IUII ~..,.,~
ZONING (om,. u..l
-r;:-4 ,,' /
. LEGAL DESCRIPTION (om.eu... only)
LOT BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
A-t.(.? t__ O/SCNo.- /-1.-.. J,.&-
\~
( _~)~. V4.t'-< ft-L--
(phone) ,;J..;J.-t,. -It- '~:2-
APPLICANT
(Name)
<'"
c...)Ok.....-L- /?1-t!'d~ __,'c-~
Z/ bP.5 L&-"" 9 C. 0/ /rv-e..
(Addte..) -
/.<~? a-t: ~
/-? ,A:.nGA-?
(Phone) q!7:;l-.v~ ;)..-dh'/';,e)
~ ._.<._ ,t.u, ~S:35';4
(Ciry) (Zip Colk)
. (Phone) p/2'-- Zz/- :!??7.5
*-A:::...?:-L-DATE /- ~ - C? V
(Address)
(Contact Person)
APPLICANT SIGNATURE
.< APPLICANT PLEASE COMPLETE BELOW
~I;W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL h~ '90 <;k. /dZl, (!DO FUEL.
v .. 67""'z:o<......
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
. . OWIltm Air Plants 0 Steam
OOravlly 0 HOI Wa..r
~llllical 0 Radiation
~-eondltioning 0 Special Devices
~l. System 0 Other Devices
PLEASE NOTE:
Air Conditionar Unils
Cannot Ilncroach inlo
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial &. Muhi-I'amlly
FEE SCHEDULE
~ or job cost- . Residential. Gas fireplace
S39.S0 minimum
Residcnlial. Healing 8< Ale (New Con'truction) S99.S0
ReJldcnUal. Healing Only (Ntw Construction) S64.S0
EstimalOdCoStsf'q~, O!)
S39.S0
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential, Additions &. Alleralions S39.S0
Residential, AC Only SJ9S0 J
Building Penn it #1/J./6JfJ 0 17
pIl,,,o~'
s
$
$
.50
(Orne. V.e Ooly)
This Application Becom.. Your Bulldlnl/ Permit When Approved
Bulldln.. omclal
D_ct:
I Pa~d ~
I Dat,. i. D+-
I Rece'
I By
.
24 hour nOlle. ror aU Inspection. (952) 441,9850, rll r952) 441-424'"
FROM :SOUTH MECHANICAL
FAX NO. :952 492 2446
Jan. 20 2004 11:08AM P2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
_(Pleat<! 11fIIe or PMlaud elm 01 I>o""m)
ADDRESS -.--
X tf2J &'.'.A~A-/' / - /
",,-. -d,
:: ~ ~~ I PERMIT NO. ~ - j,.tr:Jfl
).v..n_Afl,lICa1t1 ~~
. I ZONING (oIIi" u"l j
. LEGAL DESCRIPTION (office us< only)
LOT BLOCK
ADDITION
PlD
OWNER
(Name)
(Address)
/n..eV\ /" 0 J.s-.- ~"1'U ..&.--'
;-
/-/7/(;' ~~ ......NbAe. "1),-,-.~
. (phone) 96'..;z-~~ -~-".,~..,
~,,""'<.t.A!_. ,Ik-..
APPLICANT
(Name) r ')~JA'-ll.. /J'lL/.h4. .......~--./
(Address) 21 tJ c.'.:::r /,djl? /C _/ ~
,- "i",4"drc..)
. _ (Phone)
c:r::. ,-"-- w...v-- S53!.~;;J-
(City) (Zip COlk)
/?nrl__~d . (Phone) k/Z.-Zt..I-~Jf'5'
/'?A?.hh..- ..fk:..c._.t' ,.,L.. DATE _ .L-: ~/J - cJ 'I
- '" - .....
Her41-- ~ 7" t::J
(Contaa Person)
APPLICANT SIGNATURE
, APPLICANT PLEASE COMPLETE BELOW
[2R;i!-W CONSTRUCTION 0 REPLACEMENT 0 At TEM TIONS
FURNACE MAKE AND MODEL a -.;""" Cfo 7__ FUEL /1- ( .
v .
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPB 01' SYSTEM HEATING OR POWER PLANT
. OW&m1 Air Plan\!
OGl1Ivlty
~Cthnnical
~ennditioning
oVenl Systtm
o Sleam
o Hol W.le,
o IUdilllon
o Speei.l Devices
D Other Oe'ViccS'
PLEASE NOTE:
Air Conditionor Unil$
Cl/Inol Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
;4-.. ___ "76 70
/04CllJl) t.Sru-
Indu!triaJ, Commercial &. Mulli-FAmily
Rnidential, Heating & AiC (Ne'" Construction)
Residential, Healing Only (New Conslruotion)
FEE SCHEDULE
J.S1> of job cost- . Residential. Gu Fil'CJllace
$3950 minimum
$99 so ReSidential, Addilions & Allerlllions
$64.50 Residential, AC Only
S39.50
$39.50
$39.50
HEATING PERMIT FEE
Si ATE SUR.CHARGE
TOTAL PERMIT FEE
s
IJc, \ \n~ 121
flAIl) w..... .
8UII../)ING';; , ,.,
, 'ERMIi
E,timated Cost $
Building Permit II
(om.. v.. Oaly)
TIII8 Application Bteome. Vour Building Permit When Approved
bulldla, OMelal
I !M~ '" 1 .,:,3
,...1 Date
~........
24 hour nolloo ror aUla.pocUon. (952) 4d1.9850, r.. (951) 441-424....
D.lc
Receipt No,
By
,.
..
FAX NO. :952 492 2446
Jan. 20 2004 11:07AM Pl
Date Rel
CITY OF PRIOR LAKE PLUMBING PERMIT
<rl.... ~~ Or aMIll/ld Ii.. .r bollllm)
ADDRESS '~'.
~tj~~_t..~C.a.--/ -/ ~, /
'0... "" - ~ ,.,~~
I. "'" c., I PERMIT N~.... J 0
]."'_u_ "p,liCll'lI 'V ,
LEGAL DESCRiPTI;:1N (ollictu...nly)
I ZONINGlOlll"""l
LOT
(Contact Per$on)
BLOCK
ADDITTON
OWNER.
(Name) k~jj",. L?~ .Lt,r1'7~~_
(Address) 4-7/.'Z. ,t;;;,'7'L,"'...56z-u .6"", -< (" .iV'~f""
APPLIC^NT .
(Name) c..::5d-",.r'7"~ h-?.../ .h'~ hoAr J
(Address) VC."~' ~ L'4:/"?""~ / ~
(Addres;) \./
./fO/'7n-J ,..,/
APPLfCANT SIONATlJRE.
./.k~~.... ..s:-~.LA...P
" -
QUllntity
;).
I
/
...-,.-
I
/
/
.3
PIP
I
....(Phone) ??::z - .:;J.;:;M. -4-0":;;-.;z..
" .
(Phone) 9t7;;-?"?~-..;W#'d
~. / A-t_ $':=:;;"==.::>-
-../ t:>rc,/-r._. "'"_
(City) (Zip Code)
(?hone) k/Z-2...z./-799~
DATE __/.-.?1tj -CY!
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tuh with or without shower
I Dishwasher
floor Drftin
L.avat~ry (Bathroom Sink)
Laundry Tray (J or 2 compartment sink
i Shower Stali
i Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
(
I
I Type of FI:Jtture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washin,l! Machine)
i Sewage ~jector' .
I BackflowAssembly
1 Backflow Assembly Test
Lawn Sprinkler
I Other
I
FEE SCHEDULE
Indu.tri.l. Com",erei!1 & Multi-ramily 1% arjob cost with. 539.50 minimum
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(omc:c Use: Onl)'}
This AppliCAtion Become. Your Building Permit When Approved
BUlldh.,omelll
D.tc
Residenti.I, N.w Onc &. Two.Pamily $99.50
Residential. Additions & Alteralions $39.50
Building Permit #
S
$
$
.50 PAlO "'- .
B.!!'LDING';; I,.,
~~, e~M,.r
IT:l'a'd':(:', It Ii ~J 1.'"'\ Receipt No.
I \
I Date JAN 'l. 4 2003B)'
24 hour naIl.. ror .1I1.,ptctla.. (952) <<7.98S~. lox (952) 447-4245
L_
,
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Zqso ~A~'" ~/("
NATURE OF WORK NEiJ'7!i;JS7IlUC1:.L~
USE OF BUILDING S.f::: D. ....
PERMIT NO. 03-/538 DATE ISSUED l/12Id~.
CONTRACTOR V. ~ J-(,1ttES PHdNE/~/.t!.. ~/.;!5"'S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING rHSPEr:r~~ I M
I FOUNDATION (Prior to Backfill) I (b -, - I /2" It}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
We. I..LRr p~ 5-7 ROUGH - INS
. SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEA"'NG..~'t ~
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. AIlS /0.>'(/4-
g-(it', ~
, N/
~
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In Inspections
and maintained until all Inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
DEPARTMENT OF
BUILDING AND INSPECTION
1
J
we
~'
2-3-0</
,2-'-
G"P--'
T
.
,
I
GRADING (Prior to Sodding)
BUILDING tf41Nf IMk \
ELECTRICAL
PLUMBING
HEATING
/
/g / 2"r~"'/
/ ~-/~~
, Q--f 4-(/1,
BEEN SIGNED
"
FOR ALL INSPECTIONS (952) 447-9850
@::erfifirafe of mrrnpanrl!
CITY OF PRIOR LAKE
~tparfntlmt of '!/inilMng Jfnsptdinu
~Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
"
;.
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-1538
Occupancy Type
R3
Type Construction
VN
Fire Zone
NIA
Zoning District
R1
Legal Description
L18, B1, THE WILDS SOUTH
Owner of Building _ Site Address 2950 BOBCAT TRAIL N. W .
Contractor's Name & AddressMERLYN OLSof~~s' 6715 FEATHERSTONE, SAVAGE, MN 55378
"ROBERT D. HUTCHINS Vt City Planner DON RYE
,1 I I Building Official I
Date: I 1111/, l'Ii / Date:
- I'
-,
,",", r.::.,",. :"i";:J.:F'''''~ ;.:;,.'~ .,....~.,d~ .~.1k; ""'.~-;j;.,=,
"'I~.i..,,,..-..;.,,, ,~, ;'-~;...
......;ili,.." ~~;l.;_.;;~., .'~'-;"'"';;'_' ;':'~j.:..."",;."... " ,;.;._.,..,. .....-.1'.."..,.." ,., _;;,;,_" ,,' ~,.;;~ ",;";;'.i;,'.",...,- .' ,,;,"; """4~'_,,, """J~.l;:~' 0",~>,,~',.;, """j"" ..::.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
)..cgf) f!,lhu.J hn
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
.."INAL
[J SITE INSPECTION
o PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
COMMENTS:
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o EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASUNE AIR TST
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[J WORK SATISFACTORY, PROCEED
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[J CORRECT ~RK~L FOR REINSPECTION BEFORE COVERING
Inspector. I~ OwnerlContr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE,
",.,.."
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITV OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~?~C)
OWNER
PHONE NO.
o FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
SCHEDULED
DATE TIME
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Illulvll'l 01519""
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CONTR.
PERMIT NO.
o PLUMBING Rl
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
COMMENTS:
C;.I""'~JIL I).,..,,-(J aY-
,
bt~ILUNG
'6 'COiiPLAINT
D FIREPLACE Rl
D FIREPLACE FINAL
D GASLlNE AIR TST
D
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WORK. CALL FOR RElNSPECTION BEFORE COVERING
Inspector:~Jt~
-
Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ININOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(})v+- tr k ktv.
DATE nMl!
SCHEDULED
S-(l{ ,..c)C.!
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CONTR.
PERMIT NO.
3-&3/f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Z'PLUMBING FINAL
"MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
5'rn/(
-
{ ~tM (j/;<(. J"1JtIf-(..p~h;
o WORK SATISFACTORY. PROCEED
.t('CORRECT ACTION AND OCEED
o CORRECT FOR REINSPECTION BEFORE COVERING
Inspector:
CALL "7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
Owner/Contt:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn